UTSA Project Coordinator or Supervisor: __________________________________________________________
Name of Primary Contractor (if applicable): ________________________________________________________
A. General Safety
• All contractor employees have
completed project orientation
• Appropriate training; i.e. Haz-Com,
scaffold, fall protection, Lock-out Tag-
out, PPE, trench safety, etc.
• Housekeeping of jobsite
Slip, trip, and fall hazards minimized
• Proper PPE (hardhat, eyewear, etc)
• Construction signs posted
B. Environmental Issues
• Asbestos risks reviewed
• Hazardous Materials properly stored
• SWPPP in place
• Dust Control in use
• Noise Control in use
• Ventilation adjusted (if needed)
• Adequate lighting in all areas
C. Scaffolding / Elevated Work
• Properly constructed
• Straight and square
• Appropriate base-width OR secured
to building
• Fully planked work decks
• Guardrails and toeboards
• Access ladder
• IS ADDITIONAL FALL
PROTECTION REQUIRED?
D. Barricades
• Perimeter of jobsite
• Excavations
• Drop Zones
• Equipment Operating Zones,
including crane swing radius
• Exposed electrical or other hazards
E. Fall Protection
• Guardrails & toeboards where
possible
• Floor & wall penetrations covered
•
Roof edges/leading edges protected
•
Harness/lifelines being properly used,
including appropriate secure point
•
Proper ladders for task
•
Proper use of ladder and/or scaffold
F. Excavations & Trenches
• Excavation/trench demarcated,
including barricades and signs
• Existing underground utilities /
infrastructure checked /
marked
• Proper shoring in use
• Ladders provided (>6’ deep)
G. Fire Safety
• Egress clear and marked
• Smoke/Heat detectors,
sprinklers, and pull stations
unobstructed
• Designated Fire Watch in
use if alarm and
suppression system
compromised
• Hot Work Permit issued and
displayed
H. Electrical
• Lockout/Tagout procedures
being followed
• Extension cords used for
temporary services only,
and not overloaded
• GFCI being used
I. Cutting, Welding (Hot Work)
• Hot Work Permit issued and
displayed
• Fire Extinguishers present
and charged
• Fire Blankets used, as
needed
• Gas cylinders secured
Comments: (use back of form if necessary)
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Signature UTSA Safety Representative Printed
Revised 10-20-2007
Appendix B